Involves attachment of the periurethral tissue to the symphysis pubis for GSUI. Long term cure rate around 80%. 1-2% will get ostetitis pubis, which is an aseptic inflammation. Course is usually chronic.

Troublesome urinary leakage in a PM woman, first step in eval

Urinalysis and culture

Most common cause of fecal incontinence

Obstetric trauma with inadequate repair. Generally the patient is continent of formed stool but not of flatus.